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April 7, 1917


Author Affiliations

Professor of Nervous Diseases, Cornell University Medical College NEW YORK

JAMA. 1917;LXVIII(14):1017. doi:10.1001/jama.1917.04270040005002

The methods of modern medicine have caused not a new disease, but an additional morbid state, namely, the headache and associated symptoms following puncture of the spinal canal and removal of cerebrospinal fluid.

This headache has become so common, and its cause is so well recognized, that the term "puncture headache" has become a colloquialism in the hospitals. It is not a serious condition, and it lasts but a short time, but it is a distinctly new thing in pathogenesis and neurology; hence it is proper to study it, describe it, and, having learned its natural history, to place it in the literature of our specialty. We may incidentally learn how to prevent it, and draw some inferences from its phenomena as to other forms of headache. For we hardly know the cause of any of our ordinary headaches so completely as we do that of this particular semeiological infant.

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